Grant Details
Grant Number: |
1R01CA134903-01A1 Interpret this number |
Primary Investigator: |
Gans, Kim |
Organization: |
Brown University |
Project Title: |
Fresh to You: Multilevel Approaches in Low Income Housing to Increase F&v Intake |
Fiscal Year: |
2009 |
Abstract
DESCRIPTION (provided by applicant): Eating ample amounts of fruits and vegetables (F&V) is associated with a lower risk of chronic disease. Dietary guidelines recommend eating more F&V, but most Americans fall short of recommendations especially low income populations. Cost-effective multilevel interventions that improve access and availability to F&V as well as provide education and change the social environment to increase the F&V intake of underserved population are critically needed. The proposed research will study the efficacy of innovative interventions by building upon a successful pilot F&V delivery intervention that was conducted in worksites. The study will be conducted in 16 subsidized housing projects that will be pair-matched. A random sample of 135 household addresses will be chosen at each of the housing projects. Door-to-door recruitment will take place to enroll 108 households in an evaluation cohort. Individuals who agree will complete a baseline survey as well as 6 and 12 month follow-up surveys. Randomization will occur into one of two intervention groups after the baseline is completed: a Fresh To You group (including delivery of reduced price F&V directly to the housing project by a F&V distribution company, plus educational interventions) vs. a comparison group (receiving an attention placebo intervention and access to Fresh To You after the study). The primary outcome will be F&V consumption. The Specific Aims are: S.A.1 To conduct formative research with low income, ethnically diverse individuals living in subsidized housing projects to inform the adaptation of multi-level interventions to improve F&V intake and evaluation tools and measures. S.A.2 To employ a group randomized trial to study the efficacy of an innovative intervention combining educational interventions with a F&V delivery intervention to increase F&V access and availability on increasing participants' F&V consumption (Fresh To You intervention) compared to a Comparison intervention. We will also examine mechanisms involved in delivery and receipt of programming and the causal pathway of the intervention by addressing the following secondary aims: a) To include extensive implementation process evaluation to determine costs, reach, fidelity and dose and the relationship of these variables with evaluation outcomes; b) To use a mediating variable framework to examine relationships among important psychosocial factors/determinants with changes in F&V consumption. PUBLIC HEALTH RELEVANCE: Eating more fruits and vegetables (F&V) is a major national dietary recommendation because it reduces risk for many chronic diseases. However, many Americans, especially low income individuals, are not eating adequate F&V. The purpose of the proposed research is to conduct a group-randomized study with 16 affordable housing projects to study the effectiveness of the Fresh To You intervention, which includes providing regular delivery of reduced price F&V to the housing project together with educational interventions to increase residents' F&V intake.
Publications
Identifying Barriers to and Facilitators of Using a Mobile Fruit and Vegetable Market Intervention Delivered to Low-Income Housing Sites: A Concept Mapping Study.
Authors: Dulin A.
, Mealy R.
, Whittaker S.
, Cardel M.
, Wang J.
, Risica P.M.
, Gans K.
.
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2021-03-17 00:00:00.0; , p. 1090198121998287.
EPub date: 2021-03-17 00:00:00.0.
PMID: 33729024
Related Citations
Multilevel approaches to increase fruit and vegetable intake in low-income housing communities: final results of the 'Live Well, Viva Bien' cluster-randomized trial.
Authors: Gans K.M.
, Risica P.M.
, Keita A.D.
, Dionne L.
, Mello J.
, Stowers K.C.
, Papandonatos G.
, Whittaker S.
, Gorham G.
.
Source: The International Journal Of Behavioral Nutrition And Physical Activity, 2018-08-20 00:00:00.0; 15(1), p. 80.
EPub date: 2018-08-20 00:00:00.0.
PMID: 30126463
Related Citations
Examining neighborhood and interpersonal norms and social support on fruit and vegetable intake in low-income communities.
Authors: Dulin A.
, Risica P.M.
, Mello J.
, Ahmed R.
, Carey K.B.
, Cardel M.
, Howe C.J.
, Nadimpalli S.
, Gans K.M.
.
Source: Bmc Public Health, 2018-04-05 00:00:00.0; 18(1), p. 455.
EPub date: 2018-04-05 00:00:00.0.
PMID: 29621989
Related Citations
A multi-level intervention in subsidized housing sites to increase fruit and vegetable access and intake: Rationale, design and methods of the 'Live Well, Viva Bien' cluster randomized trial.
Authors: Gans K.M.
, Gorham G.
, Risica P.M.
, Dulin-Keita A.
, Dionne L.
, Gao T.
, Peters S.
, Principato L.
.
Source: Bmc Public Health, 2016-06-28 00:00:00.0; 16, p. 521.
EPub date: 2016-06-28 00:00:00.0.
PMID: 27353149
Related Citations
Feasibility and acceptability of an early childhood obesity prevention intervention: results from the healthy homes, healthy families pilot study.
Authors: Keita A.D.
, Risica P.M.
, Drenner K.L.
, Adams I.
, Gorham G.
, Gans K.M.
.
Source: Journal Of Obesity, 2014; 2014, p. 378501.
PMID: 25405026
Related Citations